A cluster analysis of illness and treatment representations and coping in patients with persistent atrial fibrillation.
Journal article
Authors | Taylor, E. C., O'Neill, M., Hughes, L. D. and Moss-Morris, R. |
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Abstract | Few studies have examined specific cognitive and behavioural responses to symptoms, which may impact health-related outcomes, in conjunction with illness representations, as outlined by the Common-Sense-Model. Patients with atrial fibrillation (AF) report poor quality-of-life (QoL) and high distress. This cross-sectional study investigated patterns/clusters of cognitive and behavioural responses to illness, and illness perceptions, and relationships with QoL, depression and anxiety. AF patients (N = 198) recruited at cardiology clinics completed the AF-Revised Illness Perception Questionnaire, Atrial-Fibrillation-Effect-on-Quality-of-Life Questionnaire, Patient Health Questionnaire-8 and Generalized Anxiety Disorder Questionnaire. Cluster analysis used Ward’s and K-means methods. Hierarchical regressions examined relationships between clusters with QoL, depression and anxiety. Two clusters of cognitive and behavioural responses to symptoms were outlined; (1) ‘high avoidance’; (2) ‘low symptom-focussing’. Patients in Cluster 1 had lower QoL (M = 40.36, SD = 18.40), greater symptoms of depression (M = 7.20, SD = 5.71) and greater symptoms of anxiety (M = 5.70, SD = 5.90) compared to patients in Cluster 2 who had higher QoL (M = 59.03, SD = 20.12), fewer symptoms of depression (M = 3.53, SD = 3.56) and fewer symptoms of anxiety (M = 2.56, SD = 3.56). Two illness representation clusters were outlined; (1) ‘high coherence and treatment control’, (2) ‘negative illness and emotional representations’. Patients in Cluster 2 had significantly lower QoL (M = 46.57, SD = 19.94), greater symptoms of depression (M = 6.12, SD = 5.31) and greater symptoms of anxiety (M = 4.70, SD = 5.27), compared with patients in Cluster 1 who had higher QoL (M = 61.52, SD = 21.38), fewer symptoms of depression (M = 2.85, SD = 2.97) and fewer symptoms of anxiety (M = 2.16, SD = 3.63). Overall, clusters of cognitive and behavioural responses to symptoms, and illness perceptions significantly explained between 14 and 29% of the variance in QoL, depression and anxiety. |
Keywords | atrial fibrillation; cluster analysis; illness representations; distress |
Year | 2021 |
Journal | Quality of Life Research |
Journal citation | 31, pp. 1415-1425 |
Publisher | Springer |
ISSN | 1573-2649 |
Digital Object Identifier (DOI) | https://doi.org/10.1007/s11136-021-03006-w |
Web address (URL) | https://link.springer.com/article/10.1007/s11136-021-03006-w |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 07 Oct 2021 |
Publication process dates | |
Accepted | 23 Sep 2021 |
Deposited | 20 Jan 2023 |
https://repository.derby.ac.uk/item/9w137/a-cluster-analysis-of-illness-and-treatment-representations-and-coping-in-patients-with-persistent-atrial-fibrillation
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Taylor2021_Article_AtrialFibrillationQualityOfLif.pdf | ||
License: CC BY 4.0 | ||
File access level: Open |
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